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and 3) the enactment, by New York State, of an abortion law whose only restric tion was that it be performed by a licensed physician and the subse quent action, the first by any local health department (New York City), to assure both its implementation and its quality.
I Overview.- 1 Second-Trimester Abortion: A Global View.- 2 Second-Trimester Induced Abortion in the United States.- 3 The Availability of Second-Trimester Abortion Services in the United States.- II The Second Trimester of Pregnancy.- 4 Anatomy.- 5 Ultrasonic Evaluation.- 6 Physiology.- III Methods of Second-Trimester Abortion.- 7 Hypertonic Saline Instillation.- 8 Prostaglandin Procedures.- 9 Hyperosmolar Urea.- 10 Dilatation and Evacuation.- 11 Laminaria and Other Adjunctive Methods.- IV Evaluation.- 12 Morbidity and Mortality.- 13 Future Reproduction.- 14 The Role of Health Agencies.- 15 Recommended Procedures for Evaluation of Abortion Techniques.- V Related Issues.- 16 How Much is a Fetus Worth?.- 17 Social Issues.- 18 Psychological Impact on Patients and Staff.- 19 Emotional Issues for Professionals.- 20 Counseling Issues.- 21 Postabortal Contraception.- VI International Considerations: The Dutch Abortion Experience.- 22 Second-Trimester Abortion Services in the Netherlands.- 23 Aspirotomy.- 24 Complications of Aspirotomy.- VII Future Directions.- 25 The Future of Second-Trimester Abortion in the United States.- 26 The Future of Second-Trimester Abortion Throughout the World.- 27 Preventing the Need for Second-Trimester Abortion.- 28 Contragestational Agents.